Individual
MR. DEREK HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
322 W NORTH RIVER DR, SPOKANE, WA 99201-3208
(509) 276-5005
(509) 276-7785
Mailing address
322 W NORTH RIVER DR, SPOKANE, WA 99201-3208
(509) 276-5005
(509) 276-7785
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004720
WA
Other
Enumeration date
11/14/2006
Last updated
04/13/2021
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